SMV thrombosis

Case contributed by Dr Michael P Hartung

Presentation

Abdominal pain and nausea.

Patient Data

Age: 60
Gender: Female
CT

Complete thrombosis of the superior mesenteric vein extending to the portal-splenic confluence, with mesenteric congestion. 

Case Discussion

Surprisingly little signs of abnormal small bowel despite complete thrombosis of the SMV. There is likely collateral venous flow allowing relatively normal perfusion of the small bowel to continue, and resulting in more insidious onset of symptoms. 

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Case information

rID: 63849
Published: 21st Oct 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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